Repair of the supradiaphragmatic inferior vena cava lacerated during redo open-heart surgery

Abstract Background Intravascular leiomyomatosis with intracardiac extension is a rare benign tumor seen exclusively in women, characterized by proliferation of uterine smooth muscle cells through the venous circulation into the inferior vena cava and the right heart chambers. Case summary A 47 years old women with history of previous hysterectomy due to myomatosis, presented with nausea, anorexia and bilateral lower limb swelling over the preceding two months. An outpatient abdominal ultrasound discovered a mass in the Inferior vena cava. Echocardiogram and Computed tomography demonstrated a large intravascular mass extending from the pelvis to the right heart chambers. The tumor was completely removed in a concomitant open-heart surgery and laparotomy. Post operative course was uncomplicated. A month later the patient was feeling well and in good clinical condition. The histological analysis consisted with intravascular leiomyomatosis. Discussion Intracardiac leiomyomatosis is a rare clinical condition which requires high index of suspicion. Multimodality imaging is usually required to establish the preoperative diagnosis, although the final diagnosis is achieved with tissue investigation. Complete surgical resection of the tumor is curative and associated with good long-term prognosis.

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Superior vena cava syndrome after open heart surgery

Cleveland Clinic Journal of Medicine ◽

10.3949/ccjm.59.1.93 ◽

1992 ◽

Vol 59 (1) ◽

pp. 93-95 ◽

Cited By ~ 1

Author(s):

H. J. Maggiano ◽

T. L. Higgins ◽

W. Lobo ◽

G. Makos ◽

L. A. R. Golding

Keyword(s):

Superior Vena Cava ◽

Heart Surgery ◽

Superior Vena Cava Syndrome ◽

Superior Vena ◽

Open Heart Surgery ◽

Vena Cava ◽

Open Heart ◽

Vena Cava Syndrome

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A Rare Case of Gastrointestinal Stromal Tumor with a Liver Metastasis Infiltrating the Inferior Vena Cava and Extending to the Right Atrium with an Early Recurrence after Surgical Extraction

Case Reports in Cardiology ◽

10.1155/2019/2623403 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Dimitrios Siamkouris ◽

Marc Schloesser ◽

Amr Yousef ◽

Elmar Offers

Keyword(s):

Liver Metastasis ◽

Inferior Vena Cava ◽

Right Atrium ◽

Heart Surgery ◽

Inferior Vena ◽

Vena Cava ◽

Early Recurrence ◽

Mesenchymal Tumors ◽

Surgical Extraction ◽

The Right

Gastrointestinal stromal tumors (GISTs) are mesenchymal tumors of the gastrointestinal tract. The major cause of GIST is the presence of an abnormal form of tyrosine protein kinase (KIT) protein also known as CD117, which causes uncontrollable growth of the gastrointestinal cells. Most studies report incidences between 10 and 15 cases of GISTs per million. Metastases to the liver and peritoneum are the most frequent. We report a case of advanced GIST with a liver metastasis infiltrating the inferior vena cava (IVC) and extending to the right atrium in the form of a large, floating, isolated intracardiac liver metastasis with diastolic prolapsing through the tricuspid valve. This is a very rare manifestation. One week after heart surgery and removal of a 5×6 cm tumor mass from the right atrium and the IVC, echocardiography depicted an early recurrence.

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Extravascular obstruction of the superior vena cava by hematoma after open-heart surgery and diagnosis by scintigraphy

The American Journal of Cardiology ◽

10.1016/0002-9149(83)90376-4 ◽

1983 ◽

Vol 51 (7) ◽

pp. 1229-1231 ◽

Cited By ~ 6

Author(s):

Mason H. Weiss ◽

Timothy M. Bateman ◽

Robert M. Kass ◽

David E. Brown ◽

Daniel S. Berman ◽

...

Keyword(s):

Superior Vena Cava ◽

Heart Surgery ◽

Superior Vena ◽

Open Heart Surgery ◽

Vena Cava ◽

Open Heart

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Rupture of the Inferior Vena Cava During Open-heart Surgery.Aetiology and Surgical Management

Scandinavian Journal of Thoracic and Cardiovascular Surgery ◽

10.3109/14017437909100561 ◽

1979 ◽

Vol 13 (3) ◽

pp. 259-261 ◽

Cited By ~ 6

Author(s):

Viking Olov Björk ◽

Luis Rodriguez

Keyword(s):

Inferior Vena Cava ◽

Surgical Management ◽

Inferior Vena ◽

Vena Cava ◽

Open Heart

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An interesting iatrogenic superior vena cava syndrome following open-heart surgery

Pediatric Anesthesia ◽

10.1111/j.1460-9592.2006.02084.x ◽

2007 ◽

Vol 17 (4) ◽

pp. 393-394

Author(s):

Imren Yildirim ◽

Erer Dilek ◽

Ereren Emrah ◽

Unal Yusuf ◽

Velit Halit Proff

Keyword(s):

Superior Vena Cava ◽

Heart Surgery ◽

Superior Vena Cava Syndrome ◽

Superior Vena ◽

Open Heart Surgery ◽

Vena Cava ◽

Open Heart ◽

Vena Cava Syndrome

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Central venous catheters retention in a patient with mitral valve replacement: a case report

Journal of Indonesia Vascular Access ◽

10.51559/jinava.v1i1.11 ◽

2021 ◽

Vol 1 (1) ◽

pp. 16-18

Author(s):

Ngurah Dwiky Abadi Resta ◽

I Nyoman Semadi ◽

I Komang Adhi Parama Harta ◽

I Wayan Sudarma ◽

Ketut Putu Yasa

Keyword(s):

Mitral Valve ◽

Valve Replacement ◽

Mitral Valve Replacement ◽

Heart Surgery ◽

Superior Vena ◽

Open Heart Surgery ◽

Vena Cava ◽

Central Venous Catheters ◽

Open Heart ◽

Central Venous

Background: Retention of central venous catheters (CVC) is one complication that may occur when open-heart surgery is performed (such as mitral valve replacement). In this case report, we describe case retention of CVC in a patient with Mitral Valve Replacement (MVR) related to sutured of Superior Vena Cava (SVC) wall on cannulation site. Case Presentation: A 15-year-old boy was admitted to Sanglah Hospital with a history of Heart failure with severe regurgitation of the mitral valve, severe tricuspid regurgitation, and left ventricular dysfunction due to rheumatic heart disease. Mitral valve replacement, tricuspid valve repair and left atrial reduction was performed. After five days of postoperative observation, the CVC could be removed. However, there is resistance when removing the catheter. After diagnostic examination, it was found that the CVC was sutured to the superior vena cava wall. The patient was then scheduled for a redo sternotomy to evacuate the CVC. The patient was discharged seven days after redo sternotomy was performed without any further postoperative complications. Conclusions: Retention of CVC during open-heart surgery is one complication that increases the risk for morbidity or mortality to the patient after heart surgery.

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